Group One-Time Placement Form

1Group One-Time Placement Form > 2Group Commitment Form
How did you hear about Stellar Sitters?
I understand that I will be invoiced $21 (more than 24 hr notice) or $31.50 (less than 24 hr notice and holidays) per sitter after the sitters work.

I understand that I will be invoiced $21 (more than 24 hr notice) or $31.50 (less than 24 hr notice and holidays) per sitter after the sitters work. Yes, I understand No, I have questions
Group Name
Address where sitters are needed Address where sitters are needed
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Contact Name Contact Name First Last
Primary Phone Primary Phone - ### - ### ####
Secondary Phone Secondary Phone - ### - ### ####
Email Address
First day sitters are needed
First date sitters are needed First date sitters are needed / MM / DD YYYY
Start Time Start Time : HH MM AM/PM
End Time End Time : HH MM AM/PM
Second day sitters are needed
Second date sitters are needed Second date sitters are needed / MM / DD YYYY
Start Time Start Time : HH MM AM/PM
End Time End Time : HH MM AM/PM
Third day sitters are needed
Third date sitters are needed Third date sitters are needed / MM / DD YYYY
Start Time Start Time : HH MM AM/PM
End Time End Time : HH MM AM/PM
Fourth day sitters are needed
Fourth date sitters are needed Fourth date sitters are needed / MM / DD YYYY
Start Time Start Time : HH MM AM/PM
End Time End Time : HH MM AM/PM
Fifth day sitters are needed
Fifth date sitters are needed Fifth date sitters are needed / MM / DD YYYY
Start Time Start Time : HH MM AM/PM
End Time End Time : HH MM AM/PM
Approximate Number of Children
Age Range of Children
Number of Sitters Needed (you are welcome to request only 1 sitter as long as there is another sitter that your group will provide. Our sitter should not be alone, even if there is only 1 child)
Hourly Payrate (typical rate for a group is $20-$25/hr.) $ Dollars . Cents